| NPI | 1790001485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD443245) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 255785) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2011-08-11 |